Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.20 / $104.20 / $104.20	Facility		$104.20	$104.20	$104.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $104.20 / $119.30	Professional		$84.48	$104.20	$119.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $125.46 / $174.97	Professional		$104.45	$125.46	$174.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $165.45 / $231.48	Facility		$105.33	$165.45	$231.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.28 / $206.29 / $741.56	Professional		$118.28	$206.29	$741.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $144.56 / $198.53 / $271.13	Facility		$144.56	$198.53	$271.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $194.78 / $218.58	Professional		$154.91	$194.78	$218.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $141.52 / $193.01 / $227.06	Professional		$141.52	$193.01	$227.06
United Facility/Professional Professional Modifier Low / Median / High Price $105.83 / $194.50 / $233.02	Professional		$105.83	$194.50	$233.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $166.10 / $171.10 / $171.10	Professional		$166.10	$171.10	$171.10